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The majority of combat related wounds are due to?
The majority of combat related wounds are due to penetrating trauma.
The primary blast injury is caused by ?
The primary blast injury is caused by the blast overpressure (shockwave) from an explosive.
Blast overpressure is more effective in?
Blast overpressure is more effective in an enclosed area.
Secondary blast injury is caused by?
Secondary blast injury is caused by debris or shrapnel.
What is a tertiary blast injury?
Tertiary blast is when a person is thrown into something causing blunt trauma.
What is the most significant obstacle to the Combat Medic's ability to provide care?
Enemy fire is the most significant obstacle to the Combat Medic's ability to provide care.
Who decides if casualties will be evacuated?
The tactical leader decides if a casualty will be evacuated.
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,What factors influence care on the battlefield?
The factors that influence care on the battlefield are; enemy fire, medical equipment limitations, widely
variable evacuation times, tactical considerations and casualty transportation.
Combat Medics should use ______________ before the contents of their aid bag.
Combat Medics should use a casualty's IFAK before using the contents of their bag.
What two analgesics are in the casualty's combat pill pack that are used for mild to moderate pain?
Tylenol and Moloxicam (Mobic) are used in the combat pill pack for mild to moderate pain.
If the casualty is not in shock or respiratory distress, and in moderate to severe pain, what analgesic do
you use?
OTFC, 800 ug (micrograms) transbucally for casualty not in shock or respiratory distress and in moderate
to severe pain.
What is OTFC and what is the route and dose?
OTFC (Oral Transmucosal Fentanyl Citrate) is an analgesic used for moderate to severe pain for casualty
not in respiratory distress or shock.
What analgesic do we use for moderate to severe pain when the casualty is in the hemorraghic shock or
respiratory distress, or in danger of developing either condition?
We use Ketamine for casualty's in moderate to severe pain that are either in or at risk of developing
respiratory distress or shock.
What are the dosages of Ketamine?
The dosages for Ketamine are 50 mg IM/IN or 20mg Slow IV push or IO.
What is the antibiotic in the combat pill pack?
Moxifloxacin, 400mg are carried in the combat pill pack.
______________ is recommended for ALL penetrating combat wounds.
Antibiotics are recommended for ALL penetrating combat wounds.
What are two IV/IM antibiotics that we use, and their doses?
We use Cefotetan 2gm slow IVP over 3 to 5 minutes or Ertapenem 1gm IV/IM daily.
During care under fire, medical equipment is limited to:
In care under fire. medical equipment is limited to the IFAK.
In the Tactical Field Care phase, the goal is to:
In Tactical Field Care, the goal is to assess for and treat preventable causes of death and disability.
The Tactical Evacuation Care phase begins when?
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, Tactical Evacuation care begins when the casualty is picked up.
Who directs the use of vehicles for CASEVAC?
The decision to use vehicles as CASEVAC is up to the tactical leader.
Most soldiers who die in combat do so within minutes due to?
Most soldier's who die in combat do so within minutes due to penetrating trauma and hemorrhage.
What is the difference between MEDEVAC and CASEVAC?
MEDEVAC is a vehicle dedicated to evacuate casualties and has dedicated medical personnel onboard,
whereas CASEVAC is a vehicle selected to evacuate a casualty that is not a dedicated MEDEVAC.
The decision to use CASEVAC rather than MEDEVAC is made by who?
The decision to use CASEVAC or MEDEVAC is up to the tactical leader.
What is the lowest level of medical care to provide packed red blood cells, limited x-ray, clinical
laboratory, and operational dental support?
A Role 2 level.
What level of care contains a Forward Surgical Team?
Role 2 contains the Forward Surgical Team.
What level of medical care is the Combat Support Hospital?
Role 3 contains the Combat Support Hospital.
What role of medical represent the most definitive medical care available within the AHS?
Role 4 is the most definitive care available in the AHS.
Your casualty is in hemorrhagic shock and requires analgesics for moderate to severe pain. He is
displaying signs of respiratory distress. You have established IV access. What medication/dose should
you use?
Ketamine 20mg Slow IV push every 20 minutes as needed.
You casualty has bilateral arm amputations. You have controlled life threatening injuries and they are
not in shock. They are awake and speaking. What antibiotic do you give them?
Moxifloxacin, 400mg PO (by mouth).
What type of wound has historically been the most common suffered in combat?
Penetrating trauma is historically the most suffered combat injury.
What are the phases of TCCC?
TCCC is broken up into Care Under Fire, Tactical Field Care and Tactical Evacuation Care.
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